HomeMy WebLinkAboutBuilding Permit Application ALL APPMAB{E MW BE CQMPLEM AOR APPU£AMN TO BE ACMffED
Date: Permit Number.
Building Permit Application �
planning and oevelopmentSewces
Building and Code Regulation division
23W YrginiaAvenue,Fort-Pierce FL 34.M
Phone.(772)462-1553 Fax;(772)46-2-1578 Commercial Residential
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PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at"end of line
PROPOSED INIPROVEM. ENT LOCATION:
Address: �`J �� i ►0'5+�� Pott St. Lucie 34952
Legal Description• part of 34145139-1709-000/9-.Spanish takes Cne
Property Tax ID ; Cot No.
Site Plan flame: Block No.
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Project Name'
Setbacks Front sack: Right Side-.-_Left.Side:
DETAILED DESCRIPTION OF WORK:
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DemolFion of mobile home
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CC,iI IS CTION INFORMATION-
Additional work to be performed under this permit—check a appy: J
HVAC EDGas Tank Das Piping _Shutters VUindowsf Doors
Sprinkles RoofElElectric UPlumbing
Tobi:Sq..Ft of Construction: Sq.Ft..of First Floor:
Cost of Construction: Utirldw.USewer[JSept c Building Height:
C)i NE.R/LESSEE: CONTRACTOR:
NameWYrm Building Corporation Name: Mew Lyle Wynne
Address:8000 South US 1,Suite.402 Company:Wynne Development Corporation
City: For SL Lude State.- Address: 8=South!US 1,Suite 402
Zip Code. 34952 Fax»772-87840224 may. Port St Lucie State.-FL.
Phone No.772-878-5513 Zip Code: M52 Fax:-772-878-0?_24
E-Mai};sue@wynnebccxxn Phoria No. 772-878-5513
Fill in fee simple Tide Ha1aer as next page(if Offerent E-Mail:%wWqnm3bc
from the&Amer bsWd abo%* State or County License: CGCO35M
if value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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SUPP�.Lt`!f ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGRIER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Marne: Name:
Address: Address-.
City: State: City: State:
Zip: Phone: Zip: Phone:
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EEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: __Not Applicable
Name: Name:
Address: Address:
city: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St.Lucie County makes no reprlre�sseentation that.isgranting a;permit will authorize the permit holder to build the subject structure
which is in conflict with any apptiicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting ofthis requested permit,i do hereby agree that t will,in all respects,perform the rk
in accordance with the approved plans,the Florida Building Codes and St,Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room add"ttio
accessory structures,svAmrrung pools,fences,walls,signs,screen rooms and accessory uses to another noire 'dentia!use
WARMING TO OWNER:Your durhe to R=W4 a Notate of may vesuft in your 'rag to to for
improvements to your pr rty.A Notice 'Commencement must be recorded and pa ,ed on the jobsite
before the first inspe " If you intend obtain financing,consult with lerade r a ttorney before
commencing work a rdi our 'ce of Commencement,
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_Signature.of cawner Agent signature of Contractor/License Holder
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STATE-OF FLORIDA STATE OF FLORIDA
COUNTY OF sn.t ie COUNTYOF.stuxie
The forg9ing instrument was acdviowiedged before me The forgo ng instrument was acknowledged before me
thls� ay Ci
ON c �.�1 20 SA__bv t4ti5`E�� '&y of��==s�`r_ �2 .V.by
Mair3tetvLyte7nryratc MatlhEwLyleYYyrtne
(N in acknowledging) (Name of pe n acknowledging)
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SPgnature of Notary Pub tc-State oft da) Sign re of Notary Ptah=ntlffkation
Personally Known x OR Produced Identification. Personally Known x
Type of Ide Type of I ftaddmft
SPdAGEE
v, s SUSAN hi4GEEn} ;v
USAN
CommissionLAIIMO;r'MY COMMISSlbrua s6ruaty 23,
F23 0�9 Comrnitssion Q.... MY COMMiSS1oN#FF 1 �T
. D�9aI)
Bonded Thru Notary Pubic Undore�rliets ?�of�;°?` Bonded Thru hotarr Public Underwriters
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Revised 19/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAT'URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS +
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Planning&PeveiopinentServices ASBESTOS NOTICE
Building&Code Regulation Division
2304 Virginia Avenue
Fort Pierce,FL...3498.2
Pbone:1772146.2-2172 Fax:(772 )462.64+33 j
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Asbestos Notice to Contractor
September 26, 2017
WYNNE DEVELOPMENT CORP
MATTHEW-WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
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RE: Building Permit Number 1709-0403
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
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Signature
-z( ,7-
Date
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.9/26/2017 11:39:21 AM .